Individual
TRACIE MIKA KOBAYASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
6900 PECOS RD, PHARMACY SERVICE 119, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
650 E AZURE AVE APT 1060, NORTH LAS VEGAS, NV 89081-6872
(808) 351-5017
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013293
OR
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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